Are you dealing with shoulder pain?
WE CAN HELP YOU!
Rotator Cuff Injury & Impingement
A rotator cuff injury can be caused by overuse, such as lifting overhead with poor mechanics, poor posture related to desk jobs, poor weight lifting mechanics or a fall on an outstretched arm. Unrelated to an injury, rotator cuff injuries/tears may also occur from normal age related changes and arthritis of the AC (acromio-clavicular) joint.
Pain usually occurs along the back of the shoulder to the outer aspect of the shoulder and can travel down toward the elbow. Diagnoses range from impingement where you have pain with certain tasks/movements to a complete tear where you are unable to lift the arm.
Physical therapy will guide you with a comprehensive approach to strengthen the appropriate rotator cuff and postural muscles. Targeted strengthening will help decrease your symptoms of impingement and rotator cuff tendonitis.
If you have a rotator cuff repair, physical therapy will guide you through your doctor’s orders to ensure safe return to your previous level of functioning.
Frozen shoulder can be caused by disuse after an injury or have an insidious onset, leading to the tissues around the shoulder stiffening until scar tissue develops. This stiffness significantly impacts range of motion and causes pain.
It is typically more common in females than males, especially women over 40 years old. If you have diabetes you may even experience these symptoms in both shoulders. Research shows that frozen shoulder will resolve on its own in two years, but who wants to wait that long?!?
You may receive a cortisone injection to help break up the scar tissue and physical therapy can help you get your mobility and function back in the fraction of that time!
Total Shoulder Replacement
Similar to other joint replacements, shoulder replacements are indicated for someone with severe arthritis in the shoulder joint. There are two kinds: a traditional total shoulder replacement and a reverse total shoulder replacement.
The traditional replacement is meant for individuals with arthritis and an intact rotator cuff. A Reverse replacement is meant for individuals with arthritis and no intact rotator cuff.
The reverse method actually changes the mechanics of the shoulder joint to allow you to still have functional motion despite lacking a proper rotator cuff.
While you will have some precautions following surgery, when allowed by your Doctor, physical therapy will help you safely regain your motion and improve your strength. It is a slow process, but retraining that shoulder through physical therapy will allow you to have functional use of that arm.
Shoulder bursitis is characterized by an inflammatory process occurring at the bursa (fluid filled sack that sits under a gathering of tendons). Repetitive movements and stress or trauma can lead to shoulder bursitis.
Often times, a cortisone injection can help decrease the inflammatory response. Physical therapy is extremely important to help decrease the stress occurring at the bursa by restoring appropriate strength and flexibility to the shoulder joint.
Slow progressions are important so that the bursa does not become re-inflamed.
Tendonitis in the shoulder is common in the rotator cuff and biceps tendons, characterized by an acute inflammatory process in the tendon. When this becomes a chronic issue, it is called Tendonosis. These injuries can occur from repetitive and overuse injuries or trauma such as lifting a heavy load overhead.
Impingement can also lead to symptoms of tendonitis, because there is increased friction on the tendon due to a decreased space for the tendons to pass through. Increased stressors typically occur when performing overhead activities.
Rest, ice and anti-inflammatory medications can help decrease pain during the acute phase, however physical therapy is also critical to restore proper strength of the shoulder blade and restore normal mobility to avoid any reoccurrence.
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